Active NPI
Obstetrical and Gynecological Associates, PLLC
- Obstetrics & Gynecology Physician
- Houston, TX
National Provider Identifier
1891797999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- D9508
- Legal business name
- OBSTETRICAL AND GYNECOLOGICAL ASSOCIATES, PLLC
- Practice address
- 7900 Fannin St
Suite 4000
Houston, TX 77054-2934 - Phone
- (713) 512-7000
- Fax
- (713) 512-7082
- NPI assigned
- Jun 2, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rory Pena
- Title
- Credentialing
- Phone
- (713) 512-7027
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | D9508 | TX | Primary |
| Reproductive Endocrinology Physician | 207VE0102X | TX | ||
| Gynecology Physician | 207VG0400X | TX | ||
| Diagnostic Radiology Physician | 2085R0202X | TX | ||
| Diagnostic Ultrasound Physician | 2085U0001X | TX | ||
| Clinical Medical Laboratory | 291U00000X | TX |
Addresses
Primary practice location
7900 Fannin St
Suite 4000
Houston, TX 77054-2934
Mailing address
PO Box 4048
Houston, TX 77210-4048
Phone (713) 512-7000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 144808601 | Medicaid | TX | |
| 147769701 | Medicaid | TX | |
| CN9938 | Other | TX | RAILROAD MEDICARE |
| 079778901 | Medicaid | TX |
Other names 1
- Obstetrical and Gynecological Associates, P.A.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1398124800000",
"number": "1891797999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4048",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772104048",
"telephone_number": "713-512-7000",
"fax_number": "713-512-7082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7900 FANNIN ST",
"address_2": "SUITE 4000",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770542934",
"telephone_number": "713-512-7000",
"fax_number": "713-512-7082"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OBSTETRICAL AND GYNECOLOGICAL ASSOCIATES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-02",
"last_updated": "2014-04-22",
"status": "A",
"authorized_official_last_name": "PENA",
"authorized_official_first_name": "RORY",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "713-512-7027"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "D9508",
"primary": true
},
{
"code": "207VE0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "TX",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "144808601",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "147769701",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CN9938",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "079778901",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Obstetrical and Gynecological Associates, P.A.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.